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103 76TH ST SW 2016-01-01 MF Import
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103
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103 76TH ST SW 2016-01-01 MF Import
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Last modified
4/18/2017 11:23:03 AM
Creation date
4/18/2017 11:22:53 AM
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Template:
Address Document
Street Name
76TH ST SW
Street Number
103
Imported From Microfiche
Yes
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3 <br /> W. 0. room I <br /> CITY OF EVERETT—Water Dept. <br /> Application NA..4... .... Date..............C......6...1381 I..................19...... <br /> _n tall..._.._......................inch water service pipe <br /> For ..... ......................................................... <br /> On ........ ...... <br /> .......YL... ...... <br /> ...... .. ................................ Street <br /> Lot............................................................ Block No............_.._.........._._._ <br /> Addition ......................................................................................................... <br /> Remarks ............................................................................................ <br /> ......................................................................................................................... <br /> .......................................................................................................................... <br /> .................................................................................................................... <br /> ......................................................................... .................. ................»....... <br /> Superintendent <br /> LABOR AND MATERIAL USED <br /> No. Size <br /> .................................................. Lead Connection Complete41 <br /> ...........»__..»»»..»........._............I Saddle Complete j)j tkL 4/1, <br /> ..............It......................... ............................................................._.......Pipe <br /> ................................. Service Cock <br /> .................. .......................... Service Box <br /> ......................................... ............I........................................... ............... <br /> ................ ..1-1.................. ....................................................................................... <br /> ............ ..................... ........................................................................................... <br /> ..................—J*........................ ................................................................................................ <br /> No. Hours Labor............................................cost.............................................. <br /> CutIn....................Pavement..............._..X...................... ......................Sq.Ft. <br /> ...................X......__».......... ...».._....._...... <br /> ...................X................................................ ........-.......... <br /> ...................X....................... ........................ <br /> I <br /> Total ..............._.......Sq.Ft. <br /> Remarks........................................................................................................... <br /> / OYCF <br /> ...........6............ ............... <br /> ................................................................................... <br /> Order Received.............................:............................ .,.,-. -'.*\F-o-reman <br /> WorkCompleted................................................... ................ .. ... <br />
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